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  • Individual tax return assets liabilities dependents

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    This document is an annual individual income tax return form from the Ministry of Finance of the Republic of Indonesia. It contains sections to report assets and liabilities at year-end, a list of family dependents, and instructions to complete the form in capital letters or black ink and mark the appropriate boxes. The taxpayer's identification number, name, acquired assets by year and cost, liabilities by lender and year, and family members' names, dates of birth, relationships, and occupations would be filled in the provided tables. Additional pages may be added if needed.

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    04_additional form 1770_IV 2010.pdf

    Original Title

    04_additional Form 1770_IV 2010

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    This document is an annual individual income tax return form from the Ministry of Finance of the Republic of Indonesia. It contains sections to report assets and liabilities at year-end, a list of family dependents, and instructions to complete the form in capital letters or black ink and mark the appropriate boxes. The taxpayer's identification number, name, acquired assets by year and cost, liabilities by lender and year, and family members' names, dates of birth, relationships, and occupations would be filled in the provided tables. Additional pages may be added if needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views2 pages

    Individual tax return assets liabilities dependents

    Uploaded by

    hafiedzs s
    This document is an annual individual income tax return form from the Ministry of Finance of the Republic of Indonesia. It contains sections to report assets and liabilities at year-end, a list of family dependents, and instructions to complete the form in capital letters or black ink and mark the appropriate boxes. The taxpayer's identification number, name, acquired assets by year and cost, liabilities by lender and year, and family members' names, dates of birth, relationships, and occupations would be filled in the provided tables. Additional pages may be added if needed.

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    © All Rights Reserved
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    of 2

    SHOW RESET HIDE

    ATTACHMENT - IV
    2 0

    TAXABLE YEAR
    FORM

    ANNUAL INDIVIDUAL INCOME TAX RETURN


    1770 - IV
    ASSETS AT YEAR-END to
    MINISTRY OF FINANCE OF THE MM YY MM YY
    REPUBLIC OF INDONESIA LIABILITIES AT YEAR- END
    DIRECTORATE GENERAL OF TAXES LIST OF MEMBER OF FAMILY'S DEPENDENT DEEMED BOOKS OF ACCOUNT

    ATTENTION
    FOLLOW INSTRUCTION IN THE MANUAL
    PRINT OR TYPE WITH CAPITAL LETTER OR BLACK INK
    MARK " X " IN THE APPROPRIATE BOX

    TAXPAYER IDENTIFICATION :
    NO. (TIN)
    TAXPAYER'S NAME :

    PART A : ASSETS AT YEAR - END


    COST OF ACQUISITION
    NO. TYPE OF ASSETS YEAR OF ACQUISITION DESCRIPTION
    (IDR)
    (1) (2) (3) (4) (5)

    TOTAL PART A TPA 0 < AUTO >

    PART B : LIABILITIES/PAYABLES AT YEAR-END

    TOTAL
    NO. NAME OF LENDER LENDER ADDRESS YEAR LENDING
    (IDR)
    (1) (2) (3) (4) (5)

    TOTAL PART B TPB 0 < AUTO >

    PART C : LIST OF MEMBER OF FAMILY'S DEPENDENT

    NO. NAME DATE OF BIRTH RELATIONSHIP IN FAMILY OCCUPATION


    (1) (2) (3) (4) (5)

    IF NEEDED, ADDITIONAL PAGES MAY BE ADDED Page from pages of Attachment-IV


    SHOW RESET HIDE

    LAMPIRAN - IV
    FORMULIR

    2 0

    TAHUN PAJAK
    1770 - IV SPT TAHUNAN PPh WAJIB PAJAK ORANG PRIBADI

    HARTA PADA AKHIR TAHUN s.d


    KEMENTERIAN KEUANGAN RI

    BL TH BL TH
    DIREKTORAT JENDERAL PAJAK
    KEWAJIBAN/UTANG PADA AKHIR TAHUN
    DAFTAR SUSUNAN ANGGOTA KELUARGA NORMA PEMBUKUAN

    PERHATIAN
    SEBELUM MENGISI BACALAH BUKU PETUNJUK PENGISIAN
    ISI DENGAN HURUF CETAK / DIKETIK DENGAN TINTA HITAM
    BERI TANDA " X " DALAM (KOTAK PILIHAN) YANG SESUAI

    NPWP :

    NAMA WAJIB PAJAK :

    BAGIAN A : HARTA PADA AKHIR TAHUN


    HARGA PEROLEHAN
    NO. JENIS HARTA TAHUN PEROLEHAN KETERANGAN
    (Rupiah)
    (1) (2) (3) (4) (5)

    JUMLAH BAGIAN A JBA 0 < AUTO >

    BAGIAN B : KEWAJIBAN/UTANG PADA AKHIR TAHUN

    TAHUN JUMLAH
    NO. NAMA PEMBERI PINJAMAN ALAMAT PEMBERI PINJAMAN
    PEMINJAMAN (Rupiah)
    (1) (2) (3) (4) (5)

    JUMLAH BAGIAN B JBB 0 < AUTO >

    BAGIAN C : DAFTAR SUSUNAN ANGGOTA KELUARGA

    NO. NAMA ANGGOTA KELUARGA TANGGAL LAHIR HUBUNGAN KELUARGA PEKERJAAN


    (1) (2) (3) (4) (5)

    JIKA FORMULIR INI TIDAK MENCUKUPI, DAPAT DIBUAT SENDIRI SESUAI DENGAN BENTUK INI Halaman ke- dari halaman Lampiran-IV

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